聚苯乙烯磺酸钠诱导的肠炎导致肝门静脉积气
Hepatic portal venous gas due to polystyrene sulfonate-induced enteritis.
作者信息
Kubo Toshiyuki, Yamashita Kentaro, Yokoyama Yoshihiro, Hirayama Daisuke, Shirata Tomohiro, Mitsuhashi Kei, Onodera Kei, Yamamoto Eiichiro, Nosho Katsuhiko, Yamano Hiroo, Kubo Terufumi, Sugita Shintaro, Hasegawa Tadashi, Nakase Hiroshi
机构信息
Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine, S-1, W-16, Chuo-Ku, Sapporo, 060-8543, Japan.
Department of Gastroenterology and Hepatology, Hakodate Goryokaku Hospital, Hakodate, Japan.
出版信息
Clin J Gastroenterol. 2018 Jun;11(3):220-223. doi: 10.1007/s12328-018-0818-8. Epub 2018 Jan 22.
A 78-year-old man with acute right lower abdominal pain and nausea was referred to our hospital. Computed tomography (CT) demonstrated hepatic portal venous gas and a thickened wall of the terminal ileum, and colonoscopy demonstrated ulcers and erosions of the ileocecal region. Histological examination of biopsy samples revealed basophilic crystals consistent with the component of calcium polystyrene sulfonate (CPS). This patient started taking CPS 2 months prior for chronic hyperkalemia. The symptoms resolved soon after ceasing CPS, and subsequent imaging studies confirmed the disappearance of the portal venous gas and ileocolitis.
一名78岁男性因急性右下腹痛和恶心被转诊至我院。计算机断层扫描（CT）显示肝门静脉积气和回肠末端肠壁增厚，结肠镜检查显示回盲部有溃疡和糜烂。活检样本的组织学检查发现嗜碱性晶体，与聚苯乙烯磺酸钠钙（CPS）成分相符。该患者在2个月前开始服用CPS治疗慢性高钾血症。停用CPS后症状很快缓解，随后的影像学检查证实门静脉积气和回结肠炎消失。
Zotero 插件